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The Research On Funding System Of Public Hospital

Posted on:2013-01-21Degree:DoctorType:Dissertation
Country:ChinaCandidate:B FengFull Text:PDF
GTID:1114330371480619Subject:Social Medicine and Health Management
Abstract/Summary:PDF Full Text Request
Objective:Public hospitals are public service sectors with public welfare feature, which don't target at making profit but deliver safe, efficient, convenient and inexpensive health services for the population. They are micro-providers in medical service system and shoulder important responsibilities for protecting, safeguarding and restoring people's health as well as providing public health services. It is the constant requirement of developing health system in China and in accordance with internationally general concepts of value to adhere to and safeguard public welfare feature of public hospitals all long. The social responsibilities of public hospitals are embodied in meeting people's increasing health needs, providing accessible basic health care services for everyone, catalysing development of medical technologies and medical researches, orienting and affecting other non-stated-owned health facilities to develop healthily and correctly. It is adequately manifest of the central government making preoccupations with people's livelihood and having firm stance to advance reform. Through thirty years' preparations and discussions, basic concepts and goals of the reform have been formed and many measures are being taken. Presently, the goal of the new health reform is to establish a basic medical health system that covers the whole population. Public hospitals reform with protecting and realizing their public welfare feature provides the foundation for realizing the goal of health reform. On basis of so many years' policy practice and studies, consensus is reached that reforms of management system and operational mechanism of public hospitals are the key to carry out the new health care system reform successfully. This study will mainly focus on the research of funding system of public hospital system in China. Along with foreign experiences and case study, a theoretic study will be conducted in order to provide evidence and resources for future public hospital reform. Methodology:1. Literature review. Both theoretic and experiment studies on funding system of domestic and foreign public hospital system will be collected and the current policies will be collected as well.2. Empirical analysis:The public-run hospital operation data are uses as the key cases in this study.3. Case study:mainly targeted on foreign countries.Results:1. Government should always be the leading role of the reform. Current situation shows that the public hospitals in China are running with sufficient government funding. Under this circumstance, they have to create more benefit by themselves to survive. Government should still be the key element for them to get back their nature of welfare.2. A rational and scientific standard of government funding will not only guarantee the efficiency of health services but also ensure public hospitals providing suitable public services. The global budget will work efficiently on cost-control.3. Drug income should be eliminated from public hospital's revenue.Recommendations:1. To strengthen government's leading role and establish a steady funding system; 2. The old drug policy should be replaced by increasing the price of medical services; 3. Payment reform should be implemented.
Keywords/Search Tags:Public Hospital, Funding System, Reform
PDF Full Text Request
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